DYANNA MARIE FOUNTAIN MD
NPI 1114410842
Family Medicine in Killeen, TX
About Dyanna Marie Fountain Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DYANNA MARIE FOUNTAIN MD (NPI 1114410842) is an individual family medicine provider in Killeen, Texas, licensed in Texas (T2603) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Temple, and is a graduate of Morehouse School Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dyanna Marie Fountain Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Dyanna Fountain reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Temple, TX 76508
- Reassigned Medicare billing, Texas enrollment
- 2,795 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baylor Scott & White Medical Center - Temple
Acute Care Hospitals · Temple, TXAdventhealth Central Texas
Acute Care Hospitals · Killeen, TXSeton Medical Center Harker Heights
Acute Care Hospitals · Harker Heights, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76543 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KILLEEN, TX 76543
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dyanna Fountain's NPI number?
The NPI number for Dyanna Fountain is 1114410842. It was assigned to this individual provider in the NPPES registry on June 7, 2018.
Where is Dyanna Fountain located?
Dyanna Fountain practices at 5702 E Central Texas Expy, Killeen, TX 76543. The listed phone number is (254) 680-7300.
What is Dyanna Fountain's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Dyanna Fountain enrolled in Medicare?
Yes. Dyanna Fountain is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Dyanna Fountain's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dyanna Fountain reassigns Medicare benefits to Scott & White Clinic (Temple, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dyanna Fountain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dyanna Fountain accept?
Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Dyanna Fountain as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Dyanna Fountain affiliated with any hospitals?
According to CMS data, Dyanna Fountain is affiliated with Baylor Scott & White Medical Center - Temple, Adventhealth Central Texas and Seton Medical Center Harker Heights.
When was this NPI record last updated?
The NPPES record for Dyanna Fountain was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dyanna Marie Fountain, MD · NPI 1114410842
Family Medicine physician in Killeen, Texas. Individual provider, active in the CMS NPPES registry since June 7, 2018.
## Identity
- **NPI:** 1114410842 (Entity type: Individual)
- **Enumerated:** June 7, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** T2603 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 5702 E CENTRAL TEXAS EXPY, Killeen, TX 76543-5500
- **Phone:** (254) 680-7300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Scott & White Clinic (NPI 1093779704, Temple, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Morehouse School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** August 10, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1114410842) · Data from the CMS NPPES public registry.